<!DOCTYPE html>
<html lang="zh">
<head>
    <meta charset="utf-8">
    <title>创建案例--Layui</title>
    <meta name="renderer" content="webkit">
    <meta http-equiv="X-UA-Compatible" content="IE=edge,chrome=1">
    <meta name="viewport" content="width=device-width, initial-scale=1, maximum-scale=1">
    <meta name="apple-mobile-web-app-status-bar-style" content="black">
    <meta name="apple-mobile-web-app-capable" content="yes">
    <meta name="format-detection" content="telephone=no">
    <link rel="stylesheet" href="../../layui/css/layui.css" media="all"/>
    <link rel="stylesheet" href="../../css/public.css" media="all"/>
</head>
<body class="childrenBody">
<form class="layui-form layui-row layui-col-space10" lay-filter="formTest">
    <div class="layui-col-md12 layui-col-xs12">
        <div class="layui-row layui-col-space10">
            <div class="layui-col-xs5">
                <div class="layui-form-item magt3">
                    <label class="layui-form-label">患者姓名：</label>
                    <div class="layui-input-block">
                        <input type="text" class="layui-input menberName" lay-verify="required" name="menberName"
                               placeholder="未填写">
                    </div>
                </div>
                <div class="layui-form-item magt3">
                    <label class="layui-form-label">患者年龄：</label>
                    <div class="layui-input-block">
                        <input type="number" class="layui-input menberAge" lay-verify="required" name="menberAge"
                               placeholder="未填写">
                    </div>
                </div>
            </div>
            <div class="layui-col-xs5">
                <div class="layui-form-item magt3">
                    <label class="layui-form-label">患者性别：</label>
                    <div class="layui-input-block">
                        <input lay-filter="menberSex" class="nan" type="radio" name="menberSex" value="1" title="男">
                        <input lay-filter="menberSex" class="nv" type="radio" name="menberSex" value="2" title="女">
                    </div>
                </div>
                <div class="layui-form-item magt3">
                    <label class="layui-form-label">患者疾病：</label>
                    <div class="layui-input-block">
                        <input type="text" class="layui-input disease" name="disease" lay-verify="required" placeholder="无">
                    </div>
                </div>
            </div>
            <div class="layui-col-xs2">
                <div class="layui-right">
                    <!--        <a class="layui-btn layui-btn-primary cancelNews">取消</a>-->
                    <a class="layui-btn layui-btn-normal" lay-filter="addNews" lay-submit>确定</a>
                </div>
            </div>

            <div class="layui-col-xs12">
                <div class="layui-form-item magt3">
                    <label class="layui-form-label">初步诊断：</label>
                    <div class="layui-input-block">
                        <input type="text" class="layui-input cbzd " name="cbzd" placeholder="无">
                    </div>
                </div>
                <div class="layui-form-item magt3">
                    <label class="layui-form-label">病情描述：</label>
                    <div class="layui-input-block">
                        <textarea name="bqms" placeholder="请输入" class="layui-textarea"></textarea>
                    </div>
                </div>
                <div class="layui-form-item magt3">
                    <label class="layui-form-label">临床诊断：</label>
                    <div class="layui-input-block">
                        <textarea name="lczd" placeholder="请输入" class="layui-textarea"></textarea>
                    </div>
                </div>
                <div class="layui-form-item magt3">
                    <label class="layui-form-label">就医经历：</label>
                    <div class="layui-input-block">
                        <textarea name="jyjl" placeholder="请输入" class="layui-textarea"></textarea>
                    </div>
                </div>
                <div class="layui-form-item magt3">
                    <label class="layui-form-label">检查部位：</label>
                    <div class="layui-input-block">
                        <textarea name="jcbw" placeholder="请输入" class="layui-textarea"></textarea>
                    </div>
                </div>
                <div class="layui-col-md6 layui-col-xs6">
                    <label class="layui-form-label">病例资料：</label>
                    <div class="layui-upload-list thumbBox7 mag0 magt3" id="test1">
                        <img class="layui-upload-img thumbImg icon" id="demo1">
                    </div>
                </div>
                <div class="layui-form-item magt3">
                    <label class="layui-form-label">诊断建议：</label>
                    <div class="layui-input-block">
                        <textarea name="zdyj" placeholder="请输入" class="layui-textarea"></textarea>
                    </div>
                </div>
                <div class="layui-form-item magt3">
                    <label class="layui-form-label">治疗意见：</label>
                    <div class="layui-input-block">
                        <textarea name="zljy" placeholder="请输入" class="layui-textarea"></textarea>
                    </div>
                </div>
            </div>
        </div>
<!--        <div class="layui-form-item magb0">-->
<!--            <hr class="layui-bg-gray"/>-->
<!--            <div class="layui-right">-->
<!--                &lt;!&ndash;        <a class="layui-btn layui-btn-primary cancelNews">取消</a>&ndash;&gt;-->
<!--                <a class="layui-btn layui-btn-normal" lay-filter="addNews" lay-submit>确定</a>-->
<!--            </div>-->
<!--        </div>-->
    </div>
</form>
<script type="text/javascript" src="../../js/jquery-1.11.2.min.js"></script>
<script type="text/javascript" src="../../js/jquery.cookie.js"></script>
<script type="text/javascript" src="../../layui/layui.js"></script>
<script type="text/javascript" src="../../js/constants.js"></script>
<script type="text/javascript" src="archives01By02Add.js"></script>
</body>
</html>